You have just received change-of-shift report about these patients on the coronary step down unit. Which one will you assess first?

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Question 1 of 5

You have just received change-of-shift report about these patients on the coronary step down unit. Which one will you assess first?

A. A 26-year-old with heart failure caused by congenital mitral stenosis who is scheduled for balloon valvuloplasty later today. B. A 45-year-old with constrictive cardiomyopathy who developed acute dyspnea and agitation about 1 hour before the shift change. C. A 56-year-old who had a coronary angioplasty and stent placement yesterday and has complained of occasional chest pain since the procedure. D. A 77-year-old who transferred from intensive care 2 days ago after coronary artery bypass grafting and has a temperature of 100.6Â°F.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

Which of the following are the reasons a nurse discourages the consumption of alcohol for a client with mitral valve prolapse?

A. Tachycardia B. Cinchonism C. Hypertension D. Cardiac stimulation

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A client with dysrhythmia has decreased cardiac output. Which of the following nursing interventions is essential to maintain adequate cardiac output?

A. Encourage mild exercises B. Place the client in supine position C. Ensure a client IV access D. Provide supplemental oxygen

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

What is the pathophysiology of acute pulmonary edema?

A. Acute pulmonary edema occurs when there is a sudden increase in left ventricular end-diastolic pressure, leading to leakage of fluid into the alveoli and interstitial spaces in the lungs. B. C. D.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

What short term pharmacological approach is used after a client has a prosthetic heart valve replacement for 1 to 2 months postoperatively?

A. Anticoagulant therapy B. Antibiotic therapy C. Ace Inhibitor therapy D. Beta Blocker therapy

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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